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NPI Code Detail

MEDICARE: ANDREA L TRUJILLO PHARMD

MEDICARE: ANDREA L TRUJILLO PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP00006667NM

General Provider Information

NPI Number : 1932518305
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA L TRUJILLO PHARMD
Provider Business Mailing Address
First Line : 2609 7TH ST
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4863
Country : US
Telephone Number : 505-425-5269
Fax Number :
Provider Business Practice Location Address
First Line : 2609 7TH ST
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4863
Country : US
Telephone Number : 505-425-5269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2014
Last Update Date : 08/10/2014

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Directions to “ ANDREA L TRUJILLO PHARMD” Practice Location

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